| NPI | 1437684933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 318283) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY P04844) |
| Enumeration Date | 2017-04-22 |
| Last Update Date | 2024-04-23 |