| NPI | 1427476654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A140541) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A140541) |
| 207R00000X Internal Medicine (Licence: FL ME152272) | |
| 207R00000X Internal Medicine (Licence: NY 311240) | |
| 207R00000X Internal Medicine (Licence: TX T4294) | |
| 207R00000X Internal Medicine (Licence: GA 90454) | |
| 207R00000X Internal Medicine (Licence: LA 327558) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME152272) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX T4294) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 311240) | |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2023-10-02 |