| NPI | 1861920845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MA 283198) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 283198) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2024-04-01 |