NPI | 1528267077 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WV 22887) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 22887) |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OH 35120030) | |
207R00000X Internal Medicine (Licence: WV TMP-01816) | |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NH LT-4345) | |
Enumeration Date | 2007-07-15 |
Last Update Date | 2023-08-08 |