| NPI | 1023468261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 328816) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267820) |
| 207R00000X Internal Medicine (Licence: MA 277071) | |
| Enumeration Date | 2016-06-19 |
| Last Update Date | 2024-05-10 |