| NPI | 1801035985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 266280) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME126922) |
| 207R00000X Internal Medicine (Licence: ZZ 47217-S) | |
| 207R00000X Internal Medicine (Licence: NY 266280) | |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2025-06-10 |