| NPI | 1558532531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: FL ME158845) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME158845) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2022-12-21 |