| NPI | 1730497470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01070898A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125055944) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2018-03-27 |