| NPI | 1275534281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: RI MD 10100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD 10100) |
| 208M00000X Hospitalist (Licence: MA 203509) | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2020-04-23 |