| NPI | 1508868415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 231783) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 231783) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2020-04-29 |