NPI | 1801337092 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OR DO199017) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR DO199017) |
Enumeration Date | 2017-03-20 |
Last Update Date | 2022-07-19 |