| NPI | 1790826733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 240713) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 240713) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 240713) | |
| Enumeration Date | 2007-02-11 |
| Last Update Date | 2021-12-09 |