| NPI | 1619164035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: MD D0068935) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD036508) |
| Enumeration Date | 2007-09-30 |
| Last Update Date | 2020-02-27 |