| NPI | 1144496191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2015-01360) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08470600) |
| 207R00000X Internal Medicine (Licence: MI 4301091533) | |
| 208M00000X Hospitalist (Licence: KY 42141) | |
| 208M00000X Hospitalist (Licence: NY 251015) | |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2024-10-23 |