| NPI | 1134372584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 258290) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 7154790-1205) |
| 208M00000X Hospitalist (Licence: NY 258290) | |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2012-10-25 |