| NPI | 1457630022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 262816) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 262816) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-10-20 |