| NPI | 1659485332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: ID M13023) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A80182) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WA MD60243932) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2018-03-19 |