| NPI | 1578095774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A158416) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A158416) |
| 208M00000X Hospitalist (Licence: CA A158416) | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2023-08-11 |