| NPI | 1295751782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 253091) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01061023A) |
| 208M00000X Hospitalist (Licence: RI 12340) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2012-07-09 |