| NPI | 1932336922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301505797) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01071289A) |
| 207R00000X Internal Medicine (Licence: GA 074877) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2021-12-08 |