| NPI | 1508057571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 45748) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 244083) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2018-10-09 |