| NPI | 1396164885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 309771-01) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 309771-01) |
| 207R00000X Internal Medicine (Licence: OH 35.135207) | |
| 207R00000X Internal Medicine (Licence: CA A150881) | |
| 208M00000X Hospitalist (Licence: OH 35.135207) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 63504) | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2023-12-07 |