| NPI | 1659630705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 292133) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 292133-01) |
| 208M00000X Hospitalist (Licence: IN 01071074A) | |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2023-02-15 |