| NPI | 1518463710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 88014) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 311657) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2022-08-15 |