| NPI | 1639699788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 306112) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 306112) |
| 208M00000X Hospitalist (Licence: NY 306112) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2024-01-25 |