| NPI | 1841602695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 56624) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-14761) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2023-05-18 |