NPI | 1306374632 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ R80684) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125070178) |
Enumeration Date | 2017-05-31 |
Last Update Date | 2025-08-16 |