| NPI | 1124049895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: LA 04500R) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.04500R) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: LA MD.04500R) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2023-08-23 |