| NPI | 1346626355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2026-0171) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 294515) |
| 208M00000X Hospitalist (Licence: MA 286675) | |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2026-07-13 |