NPI | 1013063627 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX N3181) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL-1957) |
207R00000X Internal Medicine (Licence: TX N3181) | |
Enumeration Date | 2007-01-26 |
Last Update Date | 2012-08-17 |