| NPI | 1629398326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301 096 400) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 296977) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2023-06-30 |