NPI | 1417129636 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 258934) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 258636) |
208M00000X Hospitalist (Licence: NY 258636) | |
Enumeration Date | 2008-03-27 |
Last Update Date | 2021-04-14 |