| NPI | 1295120848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 298688) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101282982) |
| 207R00000X Internal Medicine (Licence: NY 298688) | |
| 208M00000X Hospitalist (Licence: PA MD462955) | |
| 207R00000X Internal Medicine (Licence: PA MD462955) | |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2026-04-21 |