| NPI | 1194929786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IA 38752) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP1-0022273) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2016-08-31 |