NPI | 1699864173 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 80143) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 80143) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2023-12-19 |