| NPI | 1508898818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: SC 83642) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WA MD00043121) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WI 47052-20) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2026-06-01 |