NPI | 1730148057 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX G3068) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX G3068) |
Enumeration Date | 2006-03-23 |
Last Update Date | 2013-07-01 |