| NPI | 1194977405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 46720) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 46720) |
| 207R00000X Internal Medicine (Licence: NY 250348) | |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2025-01-27 |