| NPI | 1609050095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ 50825) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 263423) |
| 208M00000X Hospitalist (Licence: NY 263423-1) | |
| 208M00000X Hospitalist (Licence: MI 4301096756) | |
| 207R00000X Internal Medicine (Licence: PA MT191368) | |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2026-06-24 |