| NPI | 1669503983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A97721) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A97721) |
| 207R00000X Internal Medicine (Licence: NY 249189) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2023-03-07 |