| NPI | 1215902226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA G88930) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 11513) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NH 11513) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: ME 013924) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2018-04-20 |