| NPI | 1568628485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: PA MD460306) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036127429) |
| 207R00000X Internal Medicine (Licence: IL 036127429) | |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2021-06-18 |