| NPI | 1093159410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 326945) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A129990) |
| 207R00000X Internal Medicine (Licence: AZ R72807) | |
| 208M00000X Hospitalist (Licence: CA A129990) | |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2025-08-13 |