| NPI | 1417339540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A193158) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125066137) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AL 39140) | |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2024-04-04 |