| NPI | 1780847111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101263059) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101263059) |
| 207R00000X Internal Medicine (Licence: MD D0076182) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MD D0076182) | |
| 208M00000X Hospitalist (Licence: VA 0101263059) | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2025-07-25 |