NPI | 1093705436 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 213906) |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA MS0470752A) |
Enumeration Date | 2005-10-26 |
Last Update Date | 2007-07-08 |