| NPI | 1629481452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD203828) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 289595) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2023-08-07 |