NPI | 1205096930 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101246064) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101246064) |
Enumeration Date | 2008-06-16 |
Last Update Date | 2024-06-14 |