| NPI | 1609371780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ND 18381) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 312408) |
| 208M00000X Hospitalist (Licence: NY 312408) | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2022-08-23 |