| NPI | 1073799243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: AK AA1470) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AK AA1470) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2021-05-10 |