| NPI | 1356307961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 226113) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 14887R) |
| 207R00000X Internal Medicine (Licence: NY 226113) | |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2023-11-27 |