| NPI | 1306894928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 208380) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 208380) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NY 208380) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2016-04-13 |