| NPI | 1346361730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 237934) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 65505) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 237934) | |
| 208M00000X Hospitalist (Licence: VT 042.0014014) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2023-12-21 |