| NPI | 1386691061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OR MD16437) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR MD16437) |
| 207R00000X Internal Medicine (Licence: OR MD16437) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2010-09-03 |