| NPI | 1700272515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 327908) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 60375) |
| 208M00000X Hospitalist (Licence: CT 60375) | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2024-04-26 |