| NPI | 1043574478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: MI 5101019711) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101019711) |
| 207R00000X Internal Medicine (Licence: MI 5315054293) | |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2019-12-06 |