| NPI | 1700822889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01042767A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01042767) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2021-01-06 |