| NPI | 1316204290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 278625-1) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 278625) |
| 207R00000X Internal Medicine (Licence: NY 278625-1) | |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2022-07-21 |