| NPI | 1649314899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME162150) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 56202) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 56202) | |
| 207R00000X Internal Medicine (Licence: NY 174423) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 174423) | |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2023-10-06 |