| NPI | 1841263662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ 31847) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 31847) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA MD439525) | |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2012-12-04 |