| NPI | 1083607055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C132473) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 226537) |
| 208M00000X Hospitalist (Licence: CA C132473) | |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2016-11-22 |