| NPI | 1427112788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: MD D30250) |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: DC MD17664) |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: VA 0101230515) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2012-02-16 |