| NPI | 1265484190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: GA 111435) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 263956) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MN 41067) | |
| 207R00000X Internal Medicine (Licence: MA 263956) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2026-07-09 |