NPI | 1144715327 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: ME MD26359) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 276298) |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OH 35.141828) | |
Enumeration Date | 2018-06-28 |
Last Update Date | 2023-06-19 |