NPI | 1588733109 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101239018) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101239018) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2010-05-13 |