| NPI | 1942445861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 052061) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD445791) |
| 207R00000X Internal Medicine (Licence: NY 257882-1) | |
| 208M00000X Hospitalist (Licence: NY 257882-1) | |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2024-01-24 |