| NPI | 1629225651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 278936) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 051624) |
| 207R00000X Internal Medicine (Licence: PA MT193122) | |
| 208M00000X Hospitalist (Licence: NY 278936) | |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2024-10-14 |