| NPI | 1598149833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 4301516577) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 81342) |
| 208M00000X Hospitalist (Licence: GA 81342) | |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2026-07-15 |