| NPI | 1992365597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 34719) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 34719) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2023-10-18 |