| NPI | 1891926572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX Q4259) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2009010522) |
| 207R00000X Internal Medicine (Licence: KY 48070) | |
| 207R00000X Internal Medicine (Licence: TX Q4259) | |
| 207R00000X Internal Medicine (Licence: WV 24866) | |
| 207R00000X Internal Medicine (Licence: TN MD0000051589) | |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2019-02-11 |