| NPI | 1164819496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX R5776) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10052919) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2023-10-04 |