NPI | 1417339540 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: CA A193158) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125066137) |
207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: AL 39140) | |
Enumeration Date | 2015-06-25 |
Last Update Date | 2024-04-04 |