| NPI | 1134658958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: GA 102208) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA 169768) |
| 207R00000X Internal Medicine (Licence: CA 169768) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A169768) | |
| 207R00000X Internal Medicine (Licence: CA A169768) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 665451) | |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2026-02-26 |