NPI | 1033524707 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME156245) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 32522) |
208000000X Pediatrics (Licence: PR 32522) | |
Enumeration Date | 2014-06-21 |
Last Update Date | 2025-03-10 |