| NPI | 1558882217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: GA 105374) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IA R-11714) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AR E-15199) | |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2025-08-08 |