| NPI | 1285651737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX M9163) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO 2000153492) |
| 207R00000X Internal Medicine (Licence: TX M9163) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2012-04-06 |