| NPI | 1912430844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 61362) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-13975) |
| 207R00000X Internal Medicine (Licence: MS 27915) | |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2021-03-29 |