| NPI | 1962495853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101227652) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101227652) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TN md0000034330) | |
| 208000000X Pediatrics (Licence: VA 0101227652) | |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2024-02-26 |