| NPI | 1245560093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME154072) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 267840) |
| 208M00000X Hospitalist (Licence: NY 267840) | |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2023-10-27 |