| NPI | 1477130128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MN 71991) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 71991) |
| 207R00000X Internal Medicine (Licence: MN 31653) | |
| Enumeration Date | 2021-03-27 |
| Last Update Date | 2024-06-19 |