| NPI | 1104021278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 259553) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 259583-1) |
| 208M00000X Hospitalist (Licence: NY 259553) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2025-08-05 |