| NPI | 1821097841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ 34971) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01028290B) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2016-03-02 |