| NPI | 1174963953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: SC 35708) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL35708) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IN 02004827A) | |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2021-06-15 |