| NPI | 1982662334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 196150-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-086786) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OH 35-086786) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2014-11-10 |