| NPI | 1629429261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME156949) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.068235) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MN 65589) | |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2024-11-26 |