| NPI | 1720419914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 82980) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 82980) |
| 208M00000X Hospitalist (Licence: NY 284182) | |
| 207R00000X Internal Medicine (Licence: NH 16478) | |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2024-05-21 |