| NPI | 1386838340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX V1927) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WI 70454) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO 2010020902) | |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2026-07-08 |