| NPI | 1881057453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NC 2019-01881) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WI 82013-20) |
| 207R00000X Internal Medicine (Licence: NC 2019-01881) | |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2026-05-04 |