| NPI | 1649277401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME153645) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AR E-10215) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX P1675) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2022-02-24 |