| NPI | 1922266634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 262066) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N1532) |
| 207R00000X Internal Medicine (Licence: IN 01065246A) | |
| 207R00000X Internal Medicine (Licence: NY 262066) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 262066) | |
| 208M00000X Hospitalist (Licence: TX N1532) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2023-04-28 |