| NPI | 1073701959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX P9485) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 233970) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 233970) | |
| 207R00000X Internal Medicine (Licence: TX P9485) | |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2015-09-14 |