| NPI | 1295180016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 317062) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2019024565) |
| 208M00000X Hospitalist (Licence: MO 2019024565) | |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2024-04-04 |