| NPI | 1982634630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 4301048082) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA g48713) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA G48713) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO 2015009508) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2022-02-25 |