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 |