| NPI | 1972733699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA MD460871) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 56723) |
| 207R00000X Internal Medicine (Licence: FL ME116593) | |
| 208M00000X Hospitalist (Licence: FL ME116593) | |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2020-08-27 |