| NPI | 1740730506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 330800) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: NY 330800-01) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2024-11-25 |