| NPI | 1063673499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 279070) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 279070) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 279070) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2024-12-12 |