| NPI | 1548555881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 279878) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN16539) |
| 207R00000X Internal Medicine (Licence: FL ME121129) | |
| 207R00000X Internal Medicine (Licence: NY 279878) | |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2017-06-20 |