| NPI | 1255528600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ 42363) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 44010) |
| 207R00000X Internal Medicine (Licence: WA TD61451774) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WA TD61451774) | |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2024-04-25 |