| NPI | 1043275662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 11677) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WV 11677) |
| 207U00000X Nuclear Medicine (Licence: WV 11677) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2007-07-08 |