| NPI | 1306374632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A207330) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ R80684) |
| 207R00000X Internal Medicine (Licence: IL 125070178) | |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2026-09-11 |