| NPI | 1679709273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ 005862) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 005862) |
| 207R00000X Internal Medicine (Licence: AZ R1693) | |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2021-08-02 |