| NPI | 1427114735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: FL ME108425) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT187682) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2022-02-04 |