| NPI | 1225269673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 300323) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 48605) |
| 207R00000X Internal Medicine (Licence: LA MD205562) | |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2021-12-01 |