| NPI | 1104886159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 117780) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 117780) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NY 117780) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2024-08-12 |