| NPI | 1114132842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C187546) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 240451) |
| 208M00000X Hospitalist (Licence: CA C187546) | |
| 207R00000X Internal Medicine (Licence: NY 240451) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2025-04-28 |