| NPI | 1528372075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 259140) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD217392) |
| 207R00000X Internal Medicine (Licence: NY 259140-1) | |
| 207R00000X Internal Medicine (Licence: SD 9327) | |
| 207R00000X Internal Medicine (Licence: MN 63195) | |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2024-03-15 |