| NPI | 1912337924 | 
|---|---|
| Other Name | KENNETH RODRIGUEZ | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME115710) | 
| Enumeration Date | 2013-11-13 | 
| Last Update Date | 2016-07-19 |