| NPI | 1730199894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 225648) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 225648-1) |
| 207R00000X Internal Medicine (Licence: NY 225648) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2023-11-27 |