| NPI | 1598865636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 103118) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO 103118) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO MD103118) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2021-03-01 |