| NPI | 1417445081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: HI DOS-2336) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 309031) |
| Enumeration Date | 2018-04-28 |
| Last Update Date | 2023-01-12 |