| NPI | 1164675765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 279154) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2009-00702) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2017-01-30 |