| NPI | 1093169617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 66120) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 293039) |
| 208M00000X Hospitalist (Licence: NY 293039) | |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2025-03-24 |