| NPI | 1275813651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 287127) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 39792) |
| 207R00000X Internal Medicine (Licence: NY 287127) | |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2020-10-14 |