| NPI | 1679219778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1023533) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 339102) |
| 207R00000X Internal Medicine (Licence: NY 339102) | |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2026-08-18 |