| NPI | 1790823888 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 320923) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 320923) |
| 208M00000X Hospitalist (Licence: CT 041927) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CT 041927) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2023-03-15 |