| NPI | 1972921922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA a142699) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A142699) |
| Enumeration Date | 2014-04-06 |
| Last Update Date | 2022-07-15 |