| NPI | 1366763757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX P5021) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10038165) |
| Enumeration Date | 2010-06-20 |
| Last Update Date | 2018-09-04 |