| NPI | 1457558116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 4301091908) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301091908) |
| 207R00000X Internal Medicine (Licence: IL 036-117899) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2025-10-30 |