| NPI | 1649458803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A100766) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A100766) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: KS 04-34460) | |
| Enumeration Date | 2008-02-09 |
| Last Update Date | 2021-03-01 |