| NPI | 1871161588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 328853-01) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 328853-01) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2024-07-01 |