NPI | 1518147495 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OH 35093929) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101253846) |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101253846) | |
Enumeration Date | 2007-11-08 |
Last Update Date | 2024-08-15 |