NPI | 1528295656 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: KY 58928) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2009007974) |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IA MD-45227) | |
Enumeration Date | 2009-06-16 |
Last Update Date | 2024-07-17 |