| NPI | 1669688024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MD D0079388) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD443090) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA MD443090) | |
| 207RH0005X Internal Medicine, Hypertension Specialist (Licence: MD D79388) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2019-10-24 |