| NPI | 1588659551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 4301071567) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301071567) |
| 173000000X Legal Medicine (Licence: MI 4301071567) | |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2023-03-07 |