NPI | 1215346812 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A174003) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10221000) |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA10221000) | |
Enumeration Date | 2014-08-07 |
Last Update Date | 2021-11-01 |