| NPI | 1497012496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 280572) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 280572) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2017-12-19 |