| NPI | 1659600112 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A137168) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.056919) |
| Enumeration Date | 2009-12-12 |
| Last Update Date | 2023-11-02 |