| NPI | 1972946960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 285051) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01080128A) |
| 208M00000X Hospitalist (Licence: NY 285051) | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2018-06-06 |