| NPI | 1144225442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 282337) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D33768) |
| 208M00000X Hospitalist (Licence: MD D0033768) | |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2019-05-08 |