| NPI | 1225698921 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: SD 15372) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 8467) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2024-09-25 |