| NPI | 1306191200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 313236) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D79150) |
| 207R00000X Internal Medicine (Licence: MI 4301100834) | |
| 207R00000X Internal Medicine (Licence: NY 313236) | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2022-03-21 |