| NPI | 1659338085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VT 042.0012916) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TN 36081) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 240498) | |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2018-11-30 |