| NPI | 1700526084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01096838A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11022551A) |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2025-08-06 |