| NPI | 1801283718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 293835) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 282712) |
| 207R00000X Internal Medicine (Licence: NY 293835) | |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2022-06-01 |