| NPI | 1255477055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 33726) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 33726) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ 33726) | |
| 208M00000X Hospitalist (Licence: FL ME128767) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2016-11-08 |