| NPI | 1619067238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA C180511) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 41167) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: UT 4825072-1205) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IA 41167) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2022-12-02 |