| NPI | 1043261795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: TX T5336) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T5336) |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: NC 2016-01899) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2022-04-05 |