| NPI | 1306836168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX J7592) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX J7592) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL 112806) | |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2025-12-29 |