| NPI | 1467907188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 305669) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 100039687) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2026-01-16 |