| NPI | 1629238886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 003802) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 003802-1) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2014-12-30 |