| NPI | 1821062647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AL 47222) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101263466) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MN 39918) | |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2023-09-27 |