| NPI | 1710265665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME125211) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD443653) |
| 207R00000X Internal Medicine (Licence: NY 274674) | |
| 208M00000X Hospitalist (Licence: PA MD443653) | |
| 208M00000X Hospitalist (Licence: NY 274674) | |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2023-06-05 |