| NPI | 1508015082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 248955) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD442212) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2021-04-23 |