| NPI | 1710368055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101264806) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 305770) |
| 208M00000X Hospitalist (Licence: NY 305770) | |
| 208M00000X Hospitalist (Licence: VA 0101264806) | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2023-12-06 |