| NPI | 1942580311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 280892) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD445638) |
| 207R00000X Internal Medicine (Licence: IN 01071576A) | |
| 208M00000X Hospitalist (Licence: VA 0101250425) | |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2023-08-27 |