| NPI | 1124317367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036140010) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 48929) |
| 207R00000X Internal Medicine (Licence: AZ 48929) | |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2021-10-05 |