| NPI | 1780859801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX T1060) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 47220) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX 47220) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2021-05-06 |