| NPI | 1033528690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 89947) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125065586) |
| 207R00000X Internal Medicine (Licence: NY 290279) | |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2021-10-27 |