| NPI | 1346442563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: RI MD13879) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP01043) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2012-12-17 |