| NPI | 1578625976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 229352) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 229352) |
| 207R00000X Internal Medicine (Licence: FL ME158776) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2023-05-17 |