| NPI | 1285918557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IN 01084412A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD41877) |
| 207R00000X Internal Medicine (Licence: PA MT198966) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CT 063912) | |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2021-02-02 |