| NPI | 1730403270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 20339) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 280339) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2023-11-27 |