| NPI | 1134328719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME126561) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: SD 11188) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036157760) | |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2025-01-28 |