| NPI | 1184112344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO 2020015426) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MO 2020015426) |
| 207R00000X Internal Medicine (Licence: MO 2020015426) | |
| 208M00000X Hospitalist (Licence: MO 2020015426) | |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2024-04-25 |