| NPI | 1437596509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301111136) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 326722) |
| 208M00000X Hospitalist (Licence: NY 326722) | |
| 208M00000X Hospitalist (Licence: MI 4301111136) | |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2025-04-15 |