NPI | 1801845284 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: VA 0101058348) |
Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: DC MD31598) |
207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: PA MD478729) | |
Enumeration Date | 2006-05-10 |
Last Update Date | 2022-07-21 |