| NPI | 1285074013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: GA 81612) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 081612) |
| 207R00000X Internal Medicine (Licence: PA MT205246) | |
| 208M00000X Hospitalist (Licence: GA 081612) | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2019-10-07 |