| NPI | 1285024034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 284827) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 284827) |
| 208M00000X Hospitalist (Licence: NY 284827) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2022-08-10 |