| NPI | 1760702120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2023-00118) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 25189) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2025-05-22 |