| NPI | 1225008550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OK 23817) |
| Additional Taxonomies | 174400000X Specialist (Licence: OK 23817) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2016-09-16 |