| NPI | 1427096551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TN 25677) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 25677) |
| 207R00000X Internal Medicine (Licence: TN MD0000025677) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: KY 30671) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2023-03-22 |