| NPI | 1295975001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 266982) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P22758) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2018-07-12 |