| NPI | 1477553204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: MO 2022006305) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-31283) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2022-04-20 |