| NPI | 1386271674 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: UT 13891543-1204) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ME DO3622) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2024-04-09 |