| NPI | 1184924631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 260328) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 260328) |
| 207R00000X Internal Medicine (Licence: FL ME108687) | |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2024-05-24 |