| NPI | 1629381884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 272236) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 272236) |
| 207R00000X Internal Medicine (Licence: PA MT197957) | |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2023-11-27 |