| NPI | 1477525202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: WA MD60601398) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60601398) |
| 207R00000X Internal Medicine (Licence: TX N9863) | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: SC 86429) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2023-07-19 |