| NPI | 1295729986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 95848) |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: FL ME95848) |
| 207R00000X Internal Medicine (Licence: CA A76864) | |
| 207R00000X Internal Medicine (Licence: PR 14082) | |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2020-05-26 |