| NPI | 1336378934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO 2012024841) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2009011796) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2020-11-19 |