| NPI | 1992885636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MD D63464) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 75944) |
| 207R00000X Internal Medicine (Licence: MD D63464) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2014-03-05 |