| NPI | 1336170711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NM 78-162) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD015440E) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA MD015440E) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2014-10-14 |