| NPI | 1487009569 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101275913) |
| Additional Taxonomies | 1744R1102X Specialist, Research Study |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2022-07-11 |