| NPI | 1669635785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NV 16309) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MS 21747) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: LA 309848) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116019889) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2019-07-23 |