| NPI | 1710034517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 42014) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 42014) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2025-02-26 |