| NPI | 1619938958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 223118) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 223118) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: RI MD10100) | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2025-01-22 |