NPI | 1417256728 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 269707) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 269707) |
Enumeration Date | 2011-03-25 |
Last Update Date | 2016-12-24 |