| NPI | 1871764159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WI 63818) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 142421) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036123934) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: KS 04-33253) | |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2019-05-31 |