| NPI | 1710306006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: TX R2374) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10049464) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2020-12-02 |