NPI | 1629429261 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME156949) |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MN 65589) |
207R00000X Internal Medicine (Licence: IL 125.068235) | |
Enumeration Date | 2016-06-24 |
Last Update Date | 2024-01-23 |