| NPI | 1760867204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 294974) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 61542) |
| 207R00000X Internal Medicine (Licence: NY 294974) | |
| 207Q00000X Family Medicine (Licence: NY 294974) | |
| 208M00000X Hospitalist (Licence: WI 81303) | |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2024-05-30 |