NPI | 1427553650 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A174529) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 29179) |
207R00000X Internal Medicine (Licence: MN 66150) | |
Enumeration Date | 2018-03-28 |
Last Update Date | 2023-06-26 |