| NPI | 1114172897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A116768) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2012-0589) |
| 207R00000X Internal Medicine (Licence: CA A116768) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NM MD2012-0589) | |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2019-06-04 |