| NPI | 1013954015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA MD435358) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301075270) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2012-02-15 |