| NPI | 1992026975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: UT 8906407-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 8906407-1205) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: UT 8906407-1205) | |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2021-11-23 |