| NPI | 1013182591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 248412) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 248415) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2009-05-02 |