| NPI | 1245494046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ 55957) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 4301104590) |
| 207R00000X Internal Medicine (Licence: MI 4301104590) | |
| 207R00000X Internal Medicine (Licence: MN 50594) | |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2019-07-19 |