NPI | 1023247111 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME129210) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57-015870) |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AL MD.32957) | |
Enumeration Date | 2009-07-09 |
Last Update Date | 2022-01-04 |