NPI | 1285918557 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IN 01084412A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD41877) |
207R00000X Internal Medicine (Licence: PA MT198966) | |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CT 063912) | |
Enumeration Date | 2011-10-05 |
Last Update Date | 2021-02-02 |