| NPI | 1831461417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 279410) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 53519) |
| 208M00000X Hospitalist (Licence: CT 53519) | |
| 208M00000X Hospitalist (Licence: NY 279410) | |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2024-01-23 |