| NPI | 1558973677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301513517) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 323699) |
| 208M00000X Hospitalist (Licence: NY 323699) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2025-06-24 |