| NPI | 1487682308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA G199386) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 79817) |
| 207R00000X Internal Medicine (Licence: MN 50420) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2025-02-06 |