| NPI | 1639303035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 266639) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 266639) |
| 208M00000X Hospitalist (Licence: MA 257404) | |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2025-06-11 |