| NPI | 1477627842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME105672) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME105672) |
| 208D00000X General Practice (Licence: PR 16669) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2022-09-09 |