| NPI | 1760643654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 255877) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 255877) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2026-02-23 |