| NPI | 1144222597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 232655) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 232655) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2021-06-01 |