| NPI | 1548791114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 304292) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101274482) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2023-04-12 |