| NPI | 1699910562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: SC 85119) |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: TX 45328) |
| 207R00000X Internal Medicine (Licence: TX 45328) | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: MO 2018017685) | |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2022-12-15 |