| NPI | 1780208041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 333551) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA12454900) |
| 207R00000X Internal Medicine (Licence: NY 333551) | |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2025-02-06 |