NPI | 1205271095 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX S1976) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S1976) |
208M00000X Hospitalist (Licence: TX S1976) | |
Enumeration Date | 2013-05-07 |
Last Update Date | 2025-08-14 |