| NPI | 1790314912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IN 02008981A) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 5101028662) |
| 207R00000X Internal Medicine (Licence: IN 02008981A) | |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2026-07-14 |