| NPI | 1922177542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 4301104245) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301104245) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101232110) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2014-02-10 |