| NPI | 1265846539 | 
|---|---|
| Former Name | DIANA BACAL | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA OS020906)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB09987200)  | 
| Enumeration Date | 2014-06-16 | 
| Last Update Date | 2023-02-01 |