| NPI | 1487624037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IA MD-37494) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MN 46018) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IA 37494) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2014-07-01 |