| NPI | 1225362221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 314584) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ND 11048) |
| 208M00000X Hospitalist (Licence: NY 314584) | |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2022-09-09 |