| NPI | 1568639391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CO DR.0058396) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10031996) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WY 9304A) | |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2022-07-21 |