| NPI | 1750760633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 293696) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 294696) |
| Enumeration Date | 2015-05-25 |
| Last Update Date | 2024-08-27 |