| NPI | 1841723541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2023-0102) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 305704) |
| 207R00000X Internal Medicine (Licence: NY 305704) | |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2023-03-10 |