| NPI | 1013399294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 319091) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NM MD2018-0297) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2024-11-18 |