| NPI | 1013189646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 236454) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 236454) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2014-03-05 |