| 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 |