| NPI | 1275793101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 257747) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08969100) |
| 207R00000X Internal Medicine (Licence: MO 2014025197) | |
| 207R00000X Internal Medicine (Licence: NV 13624) | |
| 208M00000X Hospitalist (Licence: NY 257747) | |
| 208M00000X Hospitalist (Licence: CA C173014) | |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2021-07-15 |