| NPI | 1629040357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CT 0015106) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 015106) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CT 015106) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2023-03-07 |