| NPI | 1205818911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 281049) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 281049) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2022-01-17 |