| NPI | 1275927428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 292572) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125067636) |
| 207R00000X Internal Medicine (Licence: NY 292572) | |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2023-12-18 |