| NPI | 1205332251 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA OS021983) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA OS021983) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2025-08-13 |