| NPI | 1154857142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 316239) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A17448) |
| 208M00000X Hospitalist (Licence: CT 74089) | |
| 208M00000X Hospitalist (Licence: CA 20A17448) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-08-17 |