| NPI | 1245543578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX Q3556) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2010009147) |
| 208M00000X Hospitalist (Licence: WI 63782) | |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2022-07-05 |