| NPI | 1437180874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA MD059762L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD059762L) |
| 207R00000X Internal Medicine (Licence: GA 021849) | |
| 207R00000X Internal Medicine (Licence: MA 77808) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: GA 021849) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 77808) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2010-01-28 |