| NPI | 1144715327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: ME MD26359) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 276298) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OH 35.141828) | |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2023-06-19 |