| NPI | 1770908360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 313552) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 53570) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2023-10-18 |