| NPI | 1275503690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AL MD.42405) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 33285) |
| 207R00000X Internal Medicine (Licence: AL 42405) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2024-03-05 |