| NPI | 1568817195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 301136) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 301136) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2020-11-20 |