| NPI | 1427362698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CT 72367) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA09787900) | |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2022-11-14 |