| NPI | 1073068441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: ME MD24615) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 283778) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2024-02-02 |