| NPI | 1780859660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME135708) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD434716) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX BP10046298) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OH 126003) | |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2020-01-13 |