| NPI | 1679726467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NV 15127) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.096676) |
| 207R00000X Internal Medicine (Licence: TN 48666) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TN 48666) | |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2015-07-20 |