NPI | 1932514833 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME140713) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME140713) |
Enumeration Date | 2014-06-30 |
Last Update Date | 2025-09-24 |