NPI | 1023045655 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2013032975) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2013032975) |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO 2013032975) | |
207R00000X Internal Medicine (Licence: TN 48963) | |
Enumeration Date | 2006-06-27 |
Last Update Date | 2014-11-11 |