| NPI | 1093799959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA c55542) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA md00044508) |
| 207R00000X Internal Medicine (Licence: MI 4302089244) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2013-04-26 |