| NPI | 1689952855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 4301117417) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301117417) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: UT 9674220-1205) | |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2020-02-14 |