| NPI | 1144489717 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D76656) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0076656) | 
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MD D76656) | |
| Enumeration Date | 2008-06-09 | 
| Last Update Date | 2017-07-20 |