| NPI | 1568742666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX s2509) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 278779) |
| 208M00000X Hospitalist (Licence: NY 278779-1) | |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2019-10-10 |