| NPI | 1740592757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 296877-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 256924) |
| 208M00000X Hospitalist (Licence: MA 256924) | |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2019-02-01 |