| NPI | 1669905717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 321752) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 321752) |
| 208M00000X Hospitalist (Licence: SC 84739) | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2023-06-09 |