| NPI | 1013933241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TN 75931) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO 2024012123) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX Q3116) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2026-01-05 |