NPI | 1487116844 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NV 23972) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 23972) |
Enumeration Date | 2019-04-04 |
Last Update Date | 2025-08-05 |