| NPI | 1215251822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA a123543) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA a123543) |
| 208M00000X Hospitalist (Licence: CA A123543) | |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2021-04-05 |