| NPI | 1518971761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA MD040011L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD040011L) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2014-02-28 |