| NPI | 1427269257 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 250996)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID M-13700)  | 
| 208M00000X Hospitalist (Licence: WI 50702)  | |
| 208M00000X Hospitalist (Licence: MN 62117)  | |
| 208M00000X Hospitalist (Licence: NY 250996)  | |
| Enumeration Date | 2007-05-24 | 
| Last Update Date | 2019-11-25 |