| NPI | 1962458174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX Q2343) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 228810) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 228810) | |
| 207R00000X Internal Medicine (Licence: TX Q2343) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2015-01-13 |