| NPI | 1316248727 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NC 2017-00165) | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2017-00165) | 
| 207R00000X Internal Medicine (Licence: NC 2017-00165) | |
| Enumeration Date | 2010-11-16 | 
| Last Update Date | 2019-02-21 |