| NPI | 1598738015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A115859) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IN 01061133A) |
| 207R00000X Internal Medicine (Licence: IN 01061133A) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2011-07-06 |