| NPI | 1346207719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MN 68597) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 36828) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IA 36828) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX L6247) | |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2021-02-01 |