NPI | 1235147562 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA C55620) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD26799) |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OR MD26799) | |
Enumeration Date | 2006-08-03 |
Last Update Date | 2022-08-08 |