| NPI | 1306134028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WV 27057) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT199920) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2022-04-07 |