| NPI | 1174939615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 319505) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 56382) |
| Enumeration Date | 2014-07-04 |
| Last Update Date | 2024-10-21 |