| NPI | 1407909898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: DC MD17599) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MD D40477) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101221140) | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2011-11-14 |