| NPI | 1215373600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 283445) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R3213) |
| 207R00000X Internal Medicine (Licence: NY 283445) | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2021-05-21 |