| NPI | 1366498339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: KY 39338) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 39338) |
| 207R00000X Internal Medicine (Licence: IN 01051972A) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IN 01051972A) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2021-08-27 |