| NPI | 1659356335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TN 40100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 39877) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101246754) | |
| 208M00000X Hospitalist (Licence: TN 40100) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2020-05-29 |