| NPI | 1902868383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 230757-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 230757) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2022-08-26 |