| NPI | 1285625152 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MD D36520)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0036520)  | 
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MD D0036520)  | |
| 208M00000X Hospitalist (Licence: MD D36520)  | |
| Enumeration Date | 2005-10-31 | 
| Last Update Date | 2019-12-17 |