| NPI | 1407984560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL OS11394) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P18625) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MN 103854) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MN 51038) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2011-07-21 |