| NPI | 1932634870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101272593) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 305915) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2021-08-04 |