| NPI | 1861936403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME MD26803) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 293606) |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2023-08-22 |