NPI | 1821301300 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IN 01074787A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT196832) |
207R00000X Internal Medicine (Licence: IN 01074787A) | |
Enumeration Date | 2010-07-26 |
Last Update Date | 2021-06-10 |