| NPI | 1841240355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX M5386) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 056145) |
| 207R00000X Internal Medicine (Licence: TX M5386) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2022-12-09 |