| NPI | 1619931441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: IN 01047229) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01047229A) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2021-01-22 |