NPI | 1649310277 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G18896) |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA g18896) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2019-07-19 |