| NPI | 1548421167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 4301097637) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301097637) |
| 207R00000X Internal Medicine (Licence: IL 036120723) | |
| 207R00000X Internal Medicine (Licence: PA MD438106) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2022-10-28 |