| NPI | 1205829272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 6425) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NH 6425) |
| 174400000X Specialist (Licence: NH 6425) | |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2022-04-19 |