NPI | 1144575960 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: AR E-14762) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-14762) |
207R00000X Internal Medicine (Licence: IN 01078017A) | |
207R00000X Internal Medicine (Licence: MD P27586) | |
Enumeration Date | 2012-07-18 |
Last Update Date | 2024-05-31 |