| NPI | 1730742214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: TX BP20081704) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10066736) |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2025-05-06 |