| NPI | 1750597019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2018-02605) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.121585) |
| 208M00000X Hospitalist (Licence: NY 246985) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2025-08-27 |