| NPI | 1164747218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: MI 4301004028) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301004028) |
| 207R00000X Internal Medicine (Licence: NY 225907-1) | |
| 207R00000X Internal Medicine (Licence: IL 036.111.097) | |
| 207R00000X Internal Medicine (Licence: MD 991483) | |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2023-08-21 |