| NPI | 1932450624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ND 17118) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 271397) |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2025-07-14 |