NPI | 1932146255 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: DE C10012170) |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA08922800) |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: RI MD09982) | |
Enumeration Date | 2006-06-02 |
Last Update Date | 2022-07-21 |