| NPI | 1457675050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 260392) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101254357) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 270259) | |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2023-09-25 |