| NPI | 1710278270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 258834) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 276497) |
| 208M00000X Hospitalist (Licence: NY 276497) | |
| 208M00000X Hospitalist (Licence: MA 258834) | |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2023-03-22 |