| NPI | 1144461054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2013-00710) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 265609) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2023-01-27 |