| NPI | 1790800035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A109980) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 12356) |
| 208M00000X Hospitalist (Licence: NV 12356) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2015-07-27 |