| NPI | 1619979788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME62054) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME62054) |
| 174400000X Specialist (Licence: FL ME62054) | |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2025-02-04 |