| NPI | 1083896120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 246746) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: NY 246746) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2016-10-21 |