| NPI | 1588615058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PR 7301) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 7301) |
| 207R00000X Internal Medicine (Licence: MA 71955) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 71955) | |
| 208M00000X Hospitalist (Licence: PR 7301) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-09-30 |