| NPI | 1265824700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 285127) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD459624) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2019-10-03 |