| NPI | 1235326356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 251408) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY TP522) |
| 208M00000X Hospitalist (Licence: NY 251408) | |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2021-05-05 |