| NPI | 1144633868 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WI 83835) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017022836) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO 2017022836) | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2024-08-20 |