| NPI | 1467987081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS022501) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 305964) |
| 208M00000X Hospitalist (Licence: NY 305964) | |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2025-08-12 |