NPI | 1083716823 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MD D0037239) |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101250822) |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: DC MD039279) | |
Enumeration Date | 2006-09-02 |
Last Update Date | 2013-10-29 |