| NPI | 1932653011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME161686) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI EMC0007927) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NM MD2025-1077) | |
| Enumeration Date | 2016-08-07 |
| Last Update Date | 2026-01-23 |