| NPI | 1497751341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: SD 2292) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 2292) |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: SD 2292) | |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2015-04-22 |