| NPI | 1184206120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 334586) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MT 147239) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2026-04-30 |