| NPI | 1972538544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MI 4301405868) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 408686) |
| 207R00000X Internal Medicine (Licence: MI 4301405868) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 405868) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2022-08-16 |