| NPI | 1982050126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: UT 11605065-1204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM A-2226-19) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2022-10-20 |