| NPI | 1649205899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OK 26124) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TN 28961) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A39345) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101275128) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-01-24 |