| NPI | 1053767392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101277287) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD468032) |
| 208M00000X Hospitalist (Licence: FL ME150337) | |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2023-11-08 |