NPI | 1144633868 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WI 83835) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017022836) |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO 2017022836) | |
Enumeration Date | 2014-06-10 |
Last Update Date | 2024-08-20 |