| NPI | 1497363691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WI 82019-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 35766) |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2023-06-19 |