| NPI | 1053376509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 219348-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 219348-1) |
| 207R00000X Internal Medicine (Licence: VA 0102201653) | |
| 207R00000X Internal Medicine (Licence: CT 038737) | |
| 208M00000X Hospitalist (Licence: CA 13610) | |
| 208M00000X Hospitalist (Licence: NY 219348) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2023-05-31 |