| NPI | 1417093691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA C170149) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C170149) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 222931) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2024-04-12 |