NPI | 1861951790 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: DE C2-0024462) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS021920) |
Enumeration Date | 2019-03-19 |
Last Update Date | 2024-07-22 |