| NPI | 1144858762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 81391) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 81391-20) |
| 208M00000X Hospitalist (Licence: NY 327434) | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2024-04-29 |