NPI | 1336307792 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: KY 45858) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 45858) |
207RG0300X Internal Medicine Geriatric Medicine (Licence: KY 45858) | |
Enumeration Date | 2008-06-01 |
Last Update Date | 2013-09-28 |