| NPI | 1043476922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2011-00450) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: NY 931855244) |
| 208M00000X Hospitalist (Licence: NY 931855244) | |
| 208M00000X Hospitalist (Licence: NC 2011-00450) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2022-08-19 |