| NPI | 1316042831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MD D36046) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME71106) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: ME D0036046) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2016-03-30 |