NPI | 1629304738 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: ND 13600) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10034527) |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MN 106359) | |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MN 55770) | |
Enumeration Date | 2009-10-23 |
Last Update Date | 2015-10-26 |