| NPI | 1699109504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO 2014016487) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2014016487) |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: MO 2014016487) | |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2024-04-25 |