| NPI | 1568658250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 248618) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A88902) |
| 207R00000X Internal Medicine (Licence: NY 248618) | |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2010-01-05 |