| NPI | 1073763983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: CA A147395) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A147395) |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: WA MD60353269) | |
| Enumeration Date | 2008-09-27 |
| Last Update Date | 2018-03-17 |