| NPI | 1932321981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101253867) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101253867) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MD D0072073) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2022-10-06 |