| NPI | 1669082616 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD484201) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 325130) |
| 208M00000X Hospitalist (Licence: NY 325130) | |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2024-04-24 |