| NPI | 1154766418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 298083) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021030654) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO 2021030654) | |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2023-01-06 |