| NPI | 1821067562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OK 15327) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: OK 15327) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2011-01-18 |