| NPI | 1649686155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 289653) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 289653) |
| 207R00000X Internal Medicine (Licence: MI 4301105151) | |
| 208M00000X Hospitalist (Licence: PA MD473049) | |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2022-08-26 |