| NPI | 1639278237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 36698) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MA 36698) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2011-11-08 |