| NPI | 1902002231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A120861) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM RS20070390) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL TRN15216) | |
| Enumeration Date | 2007-06-24 |
| Last Update Date | 2012-05-06 |