| NPI | 1821418484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 288971) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 289971) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2021-07-02 |