| NPI | 1073046744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D0095349) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 306920) |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2023-11-27 |