NPI | 1184870719 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME109224) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME109224) |
Enumeration Date | 2008-08-14 |
Last Update Date | 2014-02-19 |