| NPI | 1881666386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA MD008726E) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD008726E) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2022-09-13 |