| NPI | 1528267077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: WV 22887) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 22887) |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: OH 35120030) | |
| 207R00000X Internal Medicine (Licence: WV TMP-01816) | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: NH LT-4345) | |
| Enumeration Date | 2007-07-15 |
| Last Update Date | 2023-08-08 |