| NPI | 1821330135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 95366) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01076338A) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2024-07-30 |