| NPI | 1487685301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101230785) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 220744-1) |
| 207R00000X Internal Medicine (Licence: NY 220744) | |
| 208M00000X Hospitalist (Licence: VA 0101230785) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2023-10-18 |