| NPI | 1114112190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 002935) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N3450) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2024-06-25 |