| NPI | 1821293366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 71029) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101244271) |
| 208M00000X Hospitalist (Licence: NY 244551-1) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-04-22 |