NPI | 1790339471 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WI 83130-20) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.074091) |
Enumeration Date | 2019-07-30 |
Last Update Date | 2024-05-22 |