| NPI | 1144428319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX P8828) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 234927) |
| 207R00000X Internal Medicine (Licence: TX P8828) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2014-11-17 |