| NPI | 1053579227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 269369) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 01012474) |
| 208M00000X Hospitalist (Licence: NY 269369) | |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2023-04-28 |