| NPI | 1063827350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 289945) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D85926) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2018-07-27 |