| NPI | 1376769851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OK 33338) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P18612) |
| 207R00000X Internal Medicine (Licence: NE 24822) | |
| 207R00000X Internal Medicine (Licence: ND PT11346) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NE 5741) | |
| 208M00000X Hospitalist (Licence: NE 24822) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2017-12-04 |