| NPI | 1457080814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 337552) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT225340) |
| 207R00000X Internal Medicine (Licence: NY 337552) | |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2025-07-22 |