NPI | 1902917776 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 109310-1) |
Additional Taxonomies | 207RH0005X Internal Medicine, Hypertension Specialist (Licence: NY 109310) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2013-05-20 |