| NPI | 1336133347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 35300) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: KY 35300) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IN 01063197A) | |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2016-05-23 |