| NPI | 1861526436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101286834) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 4301085200) |
| 207R00000X Internal Medicine (Licence: MI 4301085200) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2025-09-11 |