| NPI | 1639394323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 245671) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 245671) |
| 208000000X Pediatrics (Licence: NY 245671) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2022-04-28 |