| NPI | 1093201816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 320983) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D0091766) |
| Enumeration Date | 2018-07-04 |
| Last Update Date | 2024-01-23 |