| NPI | 1659348241 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WI 22970) | 
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 22970) | 
| Enumeration Date | 2006-03-02 | 
| Last Update Date | 2021-01-13 |