| NPI | 1346669587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T2549) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX T2549) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX T2549) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2021-09-10 |