| NPI | 1962713396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 286269) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL32986) |
| 207R00000X Internal Medicine (Licence: PA MD455999) | |
| 207R00000X Internal Medicine (Licence: NY 286269) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2016-10-07 |