| NPI | 1174594188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 232916) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 043481) |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2022-06-15 |