NPI | 1548302888 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 115362) |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 115362-1) |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME93816) | |
Enumeration Date | 2007-02-13 |
Last Update Date | 2010-12-09 |