NPI | 1790313864 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 329702) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 329702) |
208000000X Pediatrics (Licence: NY 329702) | |
Enumeration Date | 2020-04-01 |
Last Update Date | 2024-11-11 |