NPI | 1407909898 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: DC MD17599) |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MD D40477) |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101221140) | |
Enumeration Date | 2007-01-19 |
Last Update Date | 2011-11-14 |