| NPI | 1235133505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME56501) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME56501) |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2022-07-28 |