| NPI | 1063933240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 318565) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 2836969) |
| 207R00000X Internal Medicine (Licence: NY 318565) | |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2024-07-29 |