| NPI | 1366884785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: DE C1-0012628) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301102576) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2018-12-11 |