| NPI | 1952694382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 271551) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 125298) |
| 208M00000X Hospitalist (Licence: FL 125298) | |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2022-03-18 |