| NPI | 1386221554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: GA 110967) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.48297) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2026-03-12 |