| NPI | 1104352798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IN 01100642A) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 4301512232) |
| 207R00000X Internal Medicine (Licence: IN 01100642A) | |
| 207R00000X Internal Medicine (Licence: PA MD471352) | |
| 208M00000X Hospitalist (Licence: PA MD471352) | |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2026-07-22 |