| NPI | 1285024026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 281770) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MB09777200) |
| 208M00000X Hospitalist (Licence: NY 281770) | |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2020-07-09 |