| NPI | 1477636371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IN 01065821) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 20921) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MN 20921) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2021-01-14 |