| NPI | 1144962762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 338684) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 81749) |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2025-08-19 |