| NPI | 1053494989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: DC MD046176) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301066858) |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: MI 4301066858) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2018-07-24 |