| NPI | 1154671444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME132382) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 022291) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PR 022291) | |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2024-05-31 |