NPI | 1528122918 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME88961) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME88961) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME88961) | |
Enumeration Date | 2006-12-20 |
Last Update Date | 2021-08-10 |