| NPI | 1356335939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2005-01002) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2005-01002) |
| 207R00000X Internal Medicine (Licence: NY 225493) | |
| 207R00000X Internal Medicine (Licence: CT 040252) | |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2017-12-08 |