| NPI | 1669769501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 257451) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 257451) |
| 208M00000X Hospitalist (Licence: NY 295944) | |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2024-01-03 |