| NPI | 1023198272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA G74623) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 000000G74623) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2026-05-14 |