| NPI | 1669447272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01092630A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S4223) |
| 207R00000X Internal Medicine (Licence: TN 61331) | |
| 207R00000X Internal Medicine (Licence: IL 036095309) | |
| Enumeration Date | 2006-02-18 |
| Last Update Date | 2024-03-19 |