NPI | 1447562814 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 246542) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 246542) |
Enumeration Date | 2010-07-13 |
Last Update Date | 2014-05-19 |