| NPI | 1104892413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 248833-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 248833-1) |
| 207R00000X Internal Medicine (Licence: MO 2001023255) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 248833-1) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NY 248833-1) | |
| 208M00000X Hospitalist (Licence: IL 036115330) | |
| 208M00000X Hospitalist (Licence: MO 2001023255) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2022-07-21 |