| NPI | 1063837912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 286280-1) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX T5583) |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2024-04-25 |