| NPI | 1316292733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 311081) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD463645) |
| 207R00000X Internal Medicine (Licence: OR MD171350) | |
| 208M00000X Hospitalist (Licence: OR MD171350) | |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2023-12-02 |