| NPI | 1386957579 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D90930) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 257400) |
| 207R00000X Internal Medicine (Licence: FL ME107614) | |
| 208M00000X Hospitalist (Licence: NY 257400) | |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2024-10-04 |