| NPI | 1396781654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WI 46077) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 46077) |
| 208000000X Pediatrics (Licence: WI 46077) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2022-01-11 |