| NPI | 1508871039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 217963-1) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 217963) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-08-16 |