| NPI | 1720660426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 330451) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 330451) |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2024-08-05 |