NPI | 1447359930 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: CA G20669) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA G20669) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2007-07-08 |