| NPI | 1881772945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD-20853) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A81780) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2021-08-25 |