| NPI | 1306257613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C196138) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 290031) |
| 208M00000X Hospitalist (Licence: NY 290031) | |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2024-12-19 |