| NPI | 1205401783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 338565) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A198775) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 338565) | |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2025-10-12 |