| NPI | 1497069751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA C169946) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL me146411) |
| 208M00000X Hospitalist (Licence: MO 2013018546) | |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2023-02-07 |