| NPI | 1740847243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01087989A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125074015) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2022-09-19 |