NPI | 1366974750 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NV 20052) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 20052) |
Enumeration Date | 2017-04-03 |
Last Update Date | 2022-08-25 |