| NPI | 1730604448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX U3555) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA MT222762) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 25728) | |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2023-06-26 |