| NPI | 1629381447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IN 01074610A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 244692) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2015-06-16 |