| NPI | 1124021290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: TN MD 9267) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD9267) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2013-11-19 |