NPI | 1205368347 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PR 21790) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 21790) |
Enumeration Date | 2017-03-29 |
Last Update Date | 2022-12-22 |