| NPI | 1831266154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IN 01044193A) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: IN 01044193A) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-12-28 |