| NPI | 1639380918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD-14355) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MDR4584) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2021-06-11 |