NPI | 1508934043 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 4301039438) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301039438) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2014-10-06 |