NPI | 1588923569 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX R2553) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R2553) |
Enumeration Date | 2012-05-10 |
Last Update Date | 2020-11-06 |