| NPI | 1942869474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 78944) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 315300) |
| 208M00000X Hospitalist (Licence: NY 315300) | |
| Enumeration Date | 2019-06-09 |
| Last Update Date | 2024-07-22 |