| NPI | 1235193178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: WA MD00046201) |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: IL 036-092846) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2011-11-14 |