| NPI | 1730569476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0070141) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA FS9593763) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA MD471579) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11018183A) | |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2023-02-08 |