| NPI | 1710197363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX N0701) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301089288) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 4301089288) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2016-10-07 |