NPI | 1336272707 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MD D95140) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL 27396) |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036124457) | |
Enumeration Date | 2007-03-14 |
Last Update Date | 2024-02-02 |