| NPI | 1215295662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A128413) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 307532) |
| 207R00000X Internal Medicine (Licence: NY 298144) | |
| 208M00000X Hospitalist (Licence: NY 298144) | |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2023-03-07 |