| NPI | 1295990588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD456170) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D79914) |
| 207R00000X Internal Medicine (Licence: NY 272437) | |
| 208M00000X Hospitalist (Licence: GA 061458) | |
| 282N00000X General Acute Care Hospital (Licence: NY 272437) | |
| 282N00000X General Acute Care Hospital (Licence: DE C1-009038) | |
| 208M00000X Hospitalist (Licence: NY 272437) | |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2022-01-25 |