| NPI | 1093920514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OH 35.134895) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.134895) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IN 01062747A) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-12-03 |