NPI | 1144428319 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX P8828) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 234927) |
207R00000X Internal Medicine (Licence: TX P8828) | |
Enumeration Date | 2007-07-10 |
Last Update Date | 2014-11-17 |