| NPI | 1730451287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MT MED-PHYS-LIC-121014) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 279278) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2023-06-15 |