| NPI | 1952835324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CO DR.0077935) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0010070) |
| 207R00000X Internal Medicine (Licence: KY R5006) | |
| 208000000X Pediatrics (Licence: KY R5006) | |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2026-06-08 |