NPI | 1619067238 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA C180511) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 41167) |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: UT 4825072-1205) | |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IA 41167) | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2022-12-02 |