| NPI | 1366407009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 147543) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 1475431) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2008-09-15 |