| NPI | 1922448141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01083681A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 61513) |
| 2083B0002X Preventive Medicine Obesity Medicine (Licence: IN 01083681A) | |
| 208M00000X Hospitalist (Licence: NY 285083) | |
| 208M00000X Hospitalist (Licence: MN 61513) | |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2023-12-28 |