| NPI | 1265487581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A46696) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 35051579) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2008-11-26 |