| NPI | 1952324311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NH 17114) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 002662) |
| 208M00000X Hospitalist (Licence: NY 002662) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2021-05-24 |