| NPI | 1750369385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 99081374A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 238163) |
| 208M00000X Hospitalist (Licence: NY 238163-1) | |
| 208M00000X Hospitalist (Licence: MO 2017039562) | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2019-07-01 |