| NPI | 1952622987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 90103) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 270886) |
| 208M00000X Hospitalist (Licence: NY 270886) | |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2021-10-27 |