| NPI | 1083716823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MD D0037239) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101250822) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: DC MD039279) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2013-10-29 |