| NPI | 1366182248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 1027445) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036172465) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2026-06-24 |