NPI | 1194734020 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: KY 18185) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 18185) |
Enumeration Date | 2006-08-07 |
Last Update Date | 2012-04-25 |