| NPI | 1487063087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MN 71044) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125064744) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WI 70060) | |
| 207R00000X Internal Medicine (Licence: KS 94-09342) | |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2024-05-10 |