| NPI | 1578901542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 298678) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R73909) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: RI MD15438) | |
| 208M00000X Hospitalist (Licence: RI MD15438) | |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2021-07-30 |