| NPI | 1598182032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 296152) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS14220) |
| 207R00000X Internal Medicine (Licence: NY 296152) | |
| 208M00000X Hospitalist (Licence: IL 036144183) | |
| Enumeration Date | 2014-03-22 |
| Last Update Date | 2019-10-25 |