NPI | 1851366355 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO 2011000768) |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TN 36790) |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036.127376) | |
Enumeration Date | 2006-02-20 |
Last Update Date | 2022-01-14 |