| NPI | 1821184367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 232287) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 232287) |
| 207R00000X Internal Medicine (Licence: NY 232287) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2025-09-11 |