| NPI | 1942467469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01067114A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11013833A) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2023-04-11 |