| NPI | 1073631735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: GA 064515) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2007-00209) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-10-28 |