NPI | 1437233541 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TN MD30555) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 30555) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2022-03-25 |