| NPI | 1235147562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA C55620) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD26799) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OR MD26799) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2022-08-08 |