NPI | 1306913744 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA G45513) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G45513) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2024-04-25 |