NPI | 1396302659 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: ME MD27842) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD27842) |
Enumeration Date | 2019-05-22 |
Last Update Date | 2025-03-05 |