| NPI | 1013357573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: ND 14838) |
| Additional Taxonomies | 174400000X Specialist |
| 207R00000X Internal Medicine (Licence: MO 2013015495) | |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2023-01-05 |