| NPI | 1770670853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 088001) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: NY 088001) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2007-07-08 |