| NPI | 1871785055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 261225) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO BB4745785-2007015198) |
| 207R00000X Internal Medicine (Licence: MO 2010003412) | |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2023-07-06 |