NPI | 1932159480 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MD D32175) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D32175) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MD D32175) | |
Enumeration Date | 2006-05-12 |
Last Update Date | 2024-05-07 |