| NPI | 1548463078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IA MD-46292) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TN 54480) |
| 207R00000X Internal Medicine (Licence: IA MD-46292) | |
| 207R00000X Internal Medicine (Licence: NC 2007-00947) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101246162) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2019-07-02 |