| NPI | 1073004156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX U5712) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-11158) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NE COPS089) | |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2024-03-28 |