NPI | 1629009493 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: MA 73474) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 10323) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2022-12-02 |