| NPI | 1922593490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: NH 23285) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04386) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2023-07-19 |