NPI | 1457302861 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MD D0063594) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0063594) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2007-11-21 |