NPI | 1841474913 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036.120870) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125049063) |
Enumeration Date | 2007-12-24 |
Last Update Date | 2014-03-12 |