| NPI | 1154382430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: FL ME95499) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME95499) |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: FL ME95499) | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2008-04-02 |