| NPI | 1902508435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID MRO-2229) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 8274584-1204) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2026-05-14 |