| NPI | 1215060876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX P4539) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX P4539) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2013-06-24 |