| NPI | 1295935971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC DO51703) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: SC DO51703) |
| 207RS0010X Internal Medicine, Sports Medicine (Licence: SC DO51703) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: SC DO51703) | |
| 207RB0002X Internal Medicine, Bariatric Medicine (Licence: SC DO51703) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: SC DO51703) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: SC DO51703) | |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2024-09-16 |