| NPI | 1053629956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 275392) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 275392) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2015-12-16 |