| NPI | 1790291581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 325016) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 325016) |
| Enumeration Date | 2017-12-16 |
| Last Update Date | 2023-11-30 |