| NPI | 1275028276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 314437) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 314437) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2023-01-10 |