| NPI | 1184805186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME131579) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 18254) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2017-05-04 |