| NPI | 1437125127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CO 47595) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2020-09-16 |