NPI | 1538573555 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OH 35.136519) |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NC 2017-00220) |
207R00000X Internal Medicine (Licence: MI 4301105386) | |
Enumeration Date | 2014-06-18 |
Last Update Date | 2022-07-21 |