| NPI | 1861913691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 332443) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 66443) |
| 207R00000X Internal Medicine (Licence: NY 332443) | |
| Enumeration Date | 2017-07-01 |
| Last Update Date | 2024-12-11 |