| NPI | 1205399839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A182654) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 84726) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA A182654) | |
| 208M00000X Hospitalist (Licence: NY 306747) | |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2026-07-23 |