NPI | 1629164876 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 38965) |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: LA 025803) |
207R00000X Internal Medicine (Licence: LA 025803) | |
Enumeration Date | 2006-10-05 |
Last Update Date | 2016-03-15 |