| NPI | 1528453792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX s5282) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX s5282) |
| 208M00000X Hospitalist (Licence: TX S5282) | |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2022-05-12 |