| NPI | 1376837393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MN 56530) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 56530) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2023-09-21 |