| NPI | 1538656020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 312631) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 77205) |
| 208M00000X Hospitalist (Licence: NY 312631) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2024-08-21 |