NPI | 1518951839 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO 2017005141) |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: GA 70762) |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OH 34-00-3867-R) | |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 106048) | |
Enumeration Date | 2005-09-01 |
Last Update Date | 2023-03-07 |