| NPI | 1316999212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 230547) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 230547) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2019-04-29 |