| NPI | 1225220023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME102013) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2008-00861) |
| 207R00000X Internal Medicine (Licence: NY 239435) | |
| 207R00000X Internal Medicine (Licence: TX Q4872) | |
| 208M00000X Hospitalist (Licence: NY 239435) | |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2021-11-22 |