| NPI | 1366493181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WA MD61232874) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WI 33942) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NV 12601) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2022-04-20 |