| NPI | 1629294624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 260954) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 260954) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2025-08-26 |