| NPI | 1275760886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 271554) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 271554) |
| 207R00000X Internal Medicine (Licence: CT 50506) | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2025-09-18 |