| NPI | 1639270721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IN 01040236A) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01040236a) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2019-01-21 |