| NPI | 1013991314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME 58764) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: GA 76886) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NC 2010-01257) | |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2018-05-07 |