| NPI | 1306916531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: GA 92880) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD429605) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA08785800) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2022-08-09 |