| NPI | 1831519511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX S1701) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10050680) |
| 207R00000X Internal Medicine (Licence: TX S1701) | |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2024-09-04 |