| NPI | 1164956132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 310658) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 310658) |
| 208M00000X Hospitalist (Licence: PA MD473667) | |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2024-10-17 |