| NPI | 1861578197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 124830) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 124830) |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2008-04-16 |