| NPI | 1902148380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: CA A133221) |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA11150600) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2024-07-23 |