| NPI | 1518499086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 327428) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S6492) |
| 207R00000X Internal Medicine (Licence: NY 327428) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2024-05-29 |