| NPI | 1215297882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 287078) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 28707801) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2024-04-30 |