| NPI | 1437152782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX f5850) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX F5850) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2020-12-10 |