| NPI | 1548581887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 285666) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 4046563913) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2023-08-16 |