| NPI | 1174617740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MN 58717) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CO DR.0053160) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0102202339) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL OS8831) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 5101027097) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-10-14 |