| NPI | 1669426375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA C152490) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA06485600) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX N8343) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2019-11-07 |