| NPI | 1942272711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01065486A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01065486A) |
| 207R00000X Internal Medicine (Licence: NY 207395) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2024-02-08 |