| NPI | 1073562179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 56921-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 1907851) |
| 208M00000X Hospitalist (Licence: NY 1907851) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2015-02-05 |