| NPI | 1235753526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 1020134) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 320189) |
| 208M00000X Hospitalist (Licence: MA 1020134) | |
| 208M00000X Hospitalist (Licence: NY 320189) | |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2026-04-06 |