| NPI | 1699192930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA 125.065117) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.065117) |
| 207R00000X Internal Medicine (Licence: CA 125.065117) | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2019-11-19 |