| NPI | 1184088809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: AZ 008536) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 008536) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2022-01-15 |