NPI | 1114172897 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A116768) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2012-0589) |
207R00000X Internal Medicine (Licence: CA A116768) | |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NM MD2012-0589) | |
Enumeration Date | 2008-11-24 |
Last Update Date | 2019-06-04 |