| NPI | 1740283043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX D7693) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: TX D7693) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2012-12-17 |