| NPI | 1447237979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: MA 37932) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 37932) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2014-06-10 |