| NPI | 1225231442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A115455) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57008542) |
| 207R00000X Internal Medicine (Licence: AZ 37272) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2022-11-15 |