| NPI | 1124317342 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: FL ME148084)  | 
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NY 266620)  | 
| 208M00000X Hospitalist (Licence: NY 266620)  | |
| Enumeration Date | 2011-03-29 | 
| Last Update Date | 2024-09-03 |