NPI | 1174790836 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CT 52458) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 52458) |
Enumeration Date | 2008-05-13 |
Last Update Date | 2020-04-17 |