| NPI | 1548988611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY P116883) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY P116883) |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2022-11-07 |