NPI | 1871101550 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 323676) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 323676) |
Enumeration Date | 2020-07-17 |
Last Update Date | 2024-02-08 |