| NPI | 1164529475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WV 08929) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: WV 08929) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-04-06 |