| 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 |