| NPI | 1164713756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2016-00449) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 276980) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2017-03-13 |