| NPI | 1245295831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX Q0122) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME57045) |
| 207R00000X Internal Medicine (Licence: TX Q0122) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2014-05-12 |