| NPI | 1396064341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 272960) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD447256) |
| 208M00000X Hospitalist (Licence: NY 272960) | |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2019-04-25 |