| NPI | 1053773465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: KY 52305) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R4166) |
| 208M00000X Hospitalist (Licence: KY 52305) | |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2020-07-09 |