| NPI | 1063857001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: FL ME122792) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME122792) |
| 207R00000X Internal Medicine (Licence: FL ME122792) | |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2023-06-29 |