| NPI | 1801151667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI DOS-1774) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT014828) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2022-10-24 |