| NPI | 1396737326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WA MD60560473) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 204597) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NM MD2005-0584) | |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2015-08-05 |