| NPI | 1669099669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD-23405) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MDR-7905) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2023-08-22 |