| NPI | 1629304738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: ND 13600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10034527) |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: MN 106359) | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: MN 55770) | |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2015-10-26 |