NPI | 1831427640 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 246747) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 246747) |
Enumeration Date | 2009-12-07 |
Last Update Date | 2021-02-13 |