| NPI | 1801890389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME30740) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME30740) |
| 207R00000X Internal Medicine (Licence: FL ME30740) | |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2025-02-04 |