| NPI | 1457857039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 316066) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 316066) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2025-05-30 |