| NPI | 1154522480 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: MA 241384) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MDR - 5034) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2012-06-05 |