| NPI | 1285878512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 262055) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 262055) |
| 207Q00000X Family Medicine (Licence: NY 262055) | |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2023-05-15 |