| NPI | 1295049757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 258914) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD441163) |
| 208M00000X Hospitalist (Licence: SD 7854) | |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2019-10-23 |