| NPI | 1073531521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MO R7472) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO R7472) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2025-05-28 |