| NPI | 1992017727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX Q8663) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 243638) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2021-01-28 |