NPI | 1003342494 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PR 22687) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 22687) |
Enumeration Date | 2017-05-04 |
Last Update Date | 2024-07-11 |