| NPI | 1023041019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 179342-1) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 179342-1) |
| 208M00000X Hospitalist (Licence: NY 179342-1) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2015-06-12 |