| NPI | 1699718221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 209736) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 209736) |
| 207R00000X Internal Medicine (Licence: FL ME79859) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2021-05-14 |