| NPI | 1932177235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: KY 37247) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OH 35073095) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IN 01084814A) | |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2021-03-11 |