| NPI | 1710177043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX P4365) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA MD.204075) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2020-12-16 |