| NPI | 1336272707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MD D95140) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL 27396) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036124457) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2024-02-02 |