| NPI | 1053560805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 271806) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 149898) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2015-11-13 |