NPI | 1710397906 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MD D0096242) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0013195) |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: DE C1-0013195) | |
Enumeration Date | 2014-04-28 |
Last Update Date | 2025-05-05 |