| NPI | 1851610844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: LA MD.206214) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA MD.206214) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-05-31 |
| Last Update Date | 2016-07-07 |