| NPI | 1356834477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME167227) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD.MD.61262649) |
| 207R00000X Internal Medicine (Licence: NY 313542) | |
| 208M00000X Hospitalist (Licence: NY 313542) | |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2024-07-29 |