| NPI | 1568968444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 331341) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 70217) |
| 207R00000X Internal Medicine (Licence: NY 331341) | |
| Enumeration Date | 2018-04-01 |
| Last Update Date | 2024-09-11 |