| NPI | 1720541154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 35558) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 35558) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2025-08-07 |