| NPI | 1518971266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MD H0064780) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 216690) |
| 207R00000X Internal Medicine (Licence: MD H0064780) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 216690) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2022-09-23 |