| NPI | 1396747796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 228915) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: NY 228915) |
| 208M00000X Hospitalist (Licence: NY 228915) | |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2007-07-08 |