| NPI | 1386968006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 275759) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 275759) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2023-05-15 |