| NPI | 1518218304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OK 29797) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 29797) |
| 208M00000X Hospitalist (Licence: OK 29797) | |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2022-09-28 |