| NPI | 1295856987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036.124395) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008013467) |
| 207R00000X Internal Medicine (Licence: KY IP832) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2016-04-22 |