| NPI | 1326496688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 28527) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 329577) |
| 208M00000X Hospitalist (Licence: NY 329577) | |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2024-06-06 |