| NPI | 1194278069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 305504) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 305504) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2024-01-23 |