| NPI | 1427672203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: GA 102909) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 102909) |
| 207R00000X Internal Medicine (Licence: MI 4351046343) | |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2025-08-06 |