| NPI | 1225235385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 259750) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 259750) |
| 208000000X Pediatrics (Licence: NY 259750) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-10-13 |