NPI | 1912334897 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX BP10055746) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036139133) |
Enumeration Date | 2013-10-09 |
Last Update Date | 2018-07-05 |