| NPI | 1801288956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA OS019661) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 303023) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2025-07-04 |