| NPI | 1831402825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 290351) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09343100) |
| 207R00000X Internal Medicine (Licence: PA MT197595) | |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2019-04-24 |