| NPI | 1194888958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NC 2014-01401) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101046426) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101046426) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2016-08-22 |