| NPI | 1588848659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A125814) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 256135) |
| 207R00000X Internal Medicine (Licence: CT 0049765) | |
| 208M00000X Hospitalist (Licence: CT 049765) | |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2021-12-08 |