| NPI | 1700966652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA C186416) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD432373) |
| 207R00000X Internal Medicine (Licence: CA C186416) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA MD432373) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2024-05-22 |