| NPI | 1518906569 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: TX L0967) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 21523) |
| 207R00000X Internal Medicine (Licence: TX L0967) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2016-06-24 |