| NPI | 1740201433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO 2004009609) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV me70991) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IN 01062133A) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2019-02-26 |