| NPI | 1306041009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA09166100) |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: NY 257748) |
| 207R00000X Internal Medicine (Licence: MO 2007014950) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2023-12-04 |